{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T12:05:59Z","timestamp":1779451559465,"version":"3.53.1"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Yen Tjing Ling Medical Foundation in Taiwan","award":["Grant No. CI-108-9"],"award-info":[{"award-number":["Grant No. CI-108-9"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To quantify the long-term survival associations of different rehabilitation pathways and dosages in older adults after hip fracture within a health system characterised by ultra-short hospital stays (seven to 10 days).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A nationwide, population-based, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Taiwan's National Health Insurance Research Database (2005\u20132013).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 10,142 older adults [mean age 79.8 (SD 7.0) years; 62.7% (n\u2009=\u20096361) female] undergoing first surgical repair for fragility hip fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Participants were categorised based on postoperative rehabilitation receipt (users versus non-users), delivery pathway (inpatient only, outpatient only, or integrated inpatient-to-outpatient), and intensity (dosage, defined as administrative billing sessions: one to three sessions versus four or more sessions).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>\n                      The primary outcome was three-year all-cause mortality (33.2%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3363 out of 10,142). Multivariable Cox proportional hazards models were used to estimate adjusted hazard ratios, controlling for potential confounders.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A substantial care gap was identified, with 55.8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20095659) of participants receiving no postoperative rehabilitation. Any rehabilitation was associated with a 17% lower mortality risk (adjusted hazard ratio 0.83; 95% confidence interval 0.77 to 0.89). The strongest association was observed in the integrated inpatient-to-outpatient pathway (0.67; 0.57\u20130.79). A dose\u2013response pattern was observed, with participants receiving four or more sessions achieving a significantly lower mortality risk (0.71; 0.64\u20130.80) compared to those receiving no rehabilitation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In a system emphasising early discharge, lack of rehabilitation is common and associated with higher mortality. Integrated, higher-dose rehabilitation was consistently associated with lower mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155261450158","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T14:52:16Z","timestamp":1779202336000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between postoperative rehabilitation pathway, dose, and three-year mortality in older adults with hip fracture: A nationwide retrospective cohort study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8242-3626","authenticated-orcid":false,"given":"Chao-Chun","family":"Huang","sequence":"first","affiliation":[{"name":"Far Eastern Memorial Hospital"},{"name":"National Yang Ming Chiao Tung University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Cheng","family":"Chu","sequence":"additional","affiliation":[{"name":"National Yang Ming Chiao Tung University"},{"name":"Hopeful Physical Therapy Clinic, Yilan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Low-Hua","family":"Chen","sequence":"additional","affiliation":[{"name":"National Yang Ming Chiao Tung University"},{"name":"Hopeful Physical Therapy Clinic, Yilan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Di","family":"Chen","sequence":"additional","affiliation":[{"name":"National Yang Ming Chiao Tung University"},{"name":"Department of Electrical Engineering, Asia Eastern University of Science and Technology, New Taipei City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7281-0729","authenticated-orcid":false,"given":"Fu-An","family":"Yang","sequence":"additional","affiliation":[{"name":"Far Eastern Memorial Hospital"},{"name":"School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9177-8282","authenticated-orcid":false,"given":"Hsuei-Chen","family":"Lee","sequence":"additional","affiliation":[{"name":"National Yang Ming Chiao Tung University"},{"name":"National Yang Ming Chiao Tung University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.04.015"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.10.1630"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/55.9.M498"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.79.3.279"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-009-0920-3"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-12-105"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2013.05.015"},{"key":"e_1_3_3_9_2","article-title":"Multidisciplinary rehabilitation for older people with hip fractures","author":"Handoll HH","year":"2021","unstructured":"Handoll HH, Cameron ID, Mak JC, et al. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev 2021: CD007125.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_10_2","first-page":"29","article-title":"Models of care for the secondary prevention of osteoporotic fractures: a systematic review and meta-analysis","volume":"1","author":"Ganda K","year":"2013","unstructured":"Ganda K, Puech M, Chen JS, et al. Models of care for the secondary prevention of osteoporotic fractures: a systematic review and meta-analysis. Lancet Diabetes Endocrinol 2013; 1: 29\u201339.","journal-title":"Lancet Diabetes Endocrinol"},{"key":"e_1_3_3_11_2","first-page":"1547","article-title":"Clinical effectiveness of fracture liaison services: a systematic review of the literature","volume":"27","author":"Hawley S","year":"2016","unstructured":"Hawley S, Javaid MK, Prieto-Alhambra D. Clinical effectiveness of fracture liaison services: a systematic review of the literature. Osteoporos Int 2016; 27: 1547\u20131566.","journal-title":"Osteoporos Int"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-013-2348-z"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-012-1964-3"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.afos.2018.03.003"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0307889"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12429"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1863"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-010-1403-2"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2023.100482"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00714.2016"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2024.1408371"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06621-y"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.2147\/TCRM.S317218"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2022.01.002"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-014-2141-2"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692155261450158","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692155261450158","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692155261450158","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T11:16:16Z","timestamp":1779448576000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692155261450158"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,19]]},"references-count":24,"alternative-id":["10.1177\/02692155261450158"],"URL":"https:\/\/doi.org\/10.1177\/02692155261450158","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,19]]},"article-number":"02692155261450158"}}